Credit Application:
Please print this credit application.Complete this form and fax it to MC Logistics Services, Inc.
Fax to # 813-000-0000. A sales representative will contact you immediately.
Please print this credit application.Complete this form and fax it to MC Logistics Services, Inc.
Fax to # 813-000-0000. A sales representative will contact you immediately.
MC Logistics Services, Inc. 515 East Grant Rd Suite 14131 Tucson, AZ 85705
Tel: 520-829-3095 Florida tel: 813-708-1581 - Fax:: 813-265-3535
Tel: 520-829-3095 Florida tel: 813-708-1581 - Fax:: 813-265-3535
Company Name:
Billing Address:
Phone Number:
Fax Number:
Years at current
Location:
Location:
Federal ID#:
Type of Business:
Banking information (Include Address / Phone Number / Contact)
Checking Account Number:
Savings Account Number:
Trade References (Include Address / Phone Number / Fax / Contact)
1.
Phone:
Fax:
2.
Phone:
Fax:
3.
Phone:
Fax:
| I Understand being a duly authorized individual, do authorize to contact the above listed references for the purpose of obtaining credit information for MC Logistics Services, Inc, consideration of granting credit. |
Company Name:
Signature:
Title:
4532 West Kennedy blvd.
Suite 269 Tampa, FL 33609
Suite 269 Tampa, FL 33609